Information Collection

Record/Retain - 1604f; 1605c; 1609a; 1611d, f, g; 1613d; 1616c; 1619a; 1621; 1623(c); 1625d, f; g;1628b, d; 1629b(1); 1630b; 1631; 1634b

IC 180154 under ICR 201608-1014-001 · OMB 1014-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0006 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Record/Retain - 1604f; 1605c; 1609a; 1611d, f, g; 1613d; 1616c; 1619a; 1621; 1623(c); 1625d, f; g;1628b, d; 1629b(1); 1630b; 1631; 1634b	Agency IC Tracking Number:	1014-0006 ext 13

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1616c; 1619a; 1621;1623c 30 CFR 250.1625d, f;g; 1628b, d 30 CFR 250.1629b(1); 1630b; 30 CFR 250.1611d, f, g; 1613d; 30 CFR 250.1631; 1634b 30 CFR 250.1604f; 1605c; 1609a;

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 486	Number of Respondents for Small Entity: 335

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-486	486
Annual IC Time Burden (Hours)	-849	849
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.